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A1c Level Intentionally Kept High in Type 1 Diabetes

Majid Ali, M.D.

The blood A1c value indicates the average of blood glucose levels during the preceding 80 to 100 days. The )test value is a percentage of a blood protein that becomes "sticky" due to sugar attached to it—the higher the blood glucose (blood sugar level), the larger the percentage of sticky protein.

In healthy people, 5 to 5.5 percent of the protein called Hb is sticky with sugar (glycated (Hb) hemoglobin is the scientific term for it). In people with diabetes, a value of 6 percent or higher is generally accepted as an indication of poor diabetes control. Some doctors deliberately allow A1c level to remain high in their patients with Type 1 diabetes. In my view, this is acceptable only if all relevant dietary, nutritional, environmental, and detox remedies have failed to keep the patient in sugar balance (metabolic equilibrium) and the A1c value below 6 percent.

A1c Level Intentionally Kept High

Here is a revealing case study of a 37-year-old patient with Type 1 diabetes on insulin pump. She was receiving a daily basal dose of insulin of 18.2 units. She also administered herself a bolus dose of regular insulin with each meal, three times a day, the dose usually being two or three units at a time. She consulted me for a massive bilateral leg lymphedema which developed after an automobile accident. Here is my conversation with her:

“What was your breakfast today?”
“Piece of toast with butter and cheese.”
“Your lunch yesterday?”
“Cottage cheese and fresh peach.”
“Dinner yesterday?”
“Chicken and pasta. I put in 52 carbs, BS was 177, insulin 3.7 units of insulin.”
“What is your recent A1c?”
“Why is it so high if you are on an insulin pump?”
“Because my diabetologist wants to keep blood sugar at around 150 to 170.”
“Because I don’t feel my blood sugar dropping?”
“What do you think would happen if your blood sugar went down to 70?”
“What do you think would happen if your blood sugar went down to 40?”
“What do you think your family would notice if your blood sugar went down to 40 or lower?”
“I think they might notice that I am pale. My voice might change. My husband can always tell, even my friends can tell. But not me.”
“What is the lowest blood sugar you have ever had?”
“Sometimes as low as 20 or even below that.”
“In what state are you in then?”
“Sometimes barely conscious.My husband does the test.”
“How does that happen?”
“He notices something and does the test. For example, sometimes I sweat so much that I am drenched and he feels my cold body.”
“How often have you received glucagon injections?” (Glucagon is a hormone which counteracts insulin effects and raises blood sugar level.)
“Easily 12 times in last two years.”
“What else does he do?”
“He gives me sugar tablets and orange juice.”
“Does he ever have to give it twice?”
“Yes. Sometimes twice. Luckily I don’t get vomiting.”
“In all these years, how much time did your diabetes doctor devote to explaining to you the differences between insulin-wise eating and insulin-unwise eating?’
“Insulin-wise eating? What’s that?" she frowned a little.
“Insulin-wise meals are meals that do not cause spikes of blood sugar level that need to be controlled with insulin bolus injections,” I explained.
“What is Insulin-unwise eating?” she spoke tentatively.
“Insulin-unwise eatingcause spikes of blood sugar level that need to controlled with insulin bolus injections,” I added.

She looked at me with blank eyes for several moments, then spoke,

“No he never used those words. He simply told me to eat whatever pleases me and to cover it with needed extra insulin according to the sugar test results.”
“In your visits with him how much time did your doctor spend discussing with you the long-term risks of insulin doses that are larger than they have to be?”
“Long-term risks of insulin overdosing?” She gave me a puzzled look.
“Yes. I think it is better to keep insulin doses as low as possible by focusing on insulin-wise foods.”
“No, my doctor never talked about that either.”
“Did he ever speak about how food reactions might cause symptoms of hypoglycemia?”
“And how mold allergy, mold toxins, gut fermentation, and leaky gut state can destabilize blood sugar levels?”
“And mercury, lead, or other toxic metals?”
“Did you ever have yeast infections?”
“Yes, once I had a yeast infection that lasted for two years. Eventually an integrative doctor helped me clear it with diet and anti-fungal therapies.”
“Why didn’t you ask him to take care of your diabetes?”
“Because he doesn’t do it.”
“You have severe lymphedema in both legs. When did that begin?”
“Seven years ago, after a serious accident. My car rolled over twice in a tunnel. It's miracle that I survived.”


* Can you think of some insulin-wise and insulin-unwise foods?
* If you have not heard them, )why do you think this is so?
* Why are the long-term risks of insulin overdosing being ignored?
* Could her diabetic control problems have anything to do with her accident?

For answers, please read My articles entitled Insulin-Wise and Insulin-Unwise Foods, Part 1,2, and 3

Suggested Readings From My Insulin-Obesity-Diabetes Library

1. Insulin-Wise and Insulin-Unwise Foods—Part 1
2. Insulin-Wise and Insulin-Unwise Foods—Part 2
3. Insulin-Wise and Insulin-Unwise Foods—Part 3
4. Beyond Glycemic Index - Insulin-Wise and Insulin-Unwise Foods—Part 4

5. A1c Level Intentionally Kept High in Type 1 Diabetes

6 Insulin-Wise Foods, Insulin-Saving Recipes

7. Diabetes-Literate, Healing-Illiterate
8. Oxygen-Wise and Oxygen-Unwise Foods and Meals
9. Thirteen States Predicted To Have Obesity Rates of Over 60 % by 2030
10. Ali M. Oxygen, Darwin’s Drones, and Diabetes. Volume 1—Dr. Ali’s Plan for Reversing Diabetes. 2011. New York, Canary 21 Press.
11. Ali M. The Butterfly and Life Span Nutrition. Denville, New Jersey, Life Span Books 1992.
12. Ali M. The Principles and Practice of Integrative Medicine Volume V: Integrative Nutritional Medicine: Nutrition Seen Through the Prism of Oxygen Homeostasis. New York. Canary 21 Press. 1999. 2nd edition 2005.


Suggested YouTube Videos

* Dr. Ali's Insulin-Saving Recipes 
* Bread or Bread With Butter 
* Insulin-Wise Eating 
* Dr. Ali’s Breakfast 
* Healing Literacy Part 1 
* Healing Literacy Part 2 



This information is provided only to provide information, it is never, ever to be used as a self help guideline. Always consult your own health care provider for information or questions on your health! Throughout this website, statements are made pertaining to the properties and/or functions of nutritional supplements. These statements about nutritional supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure or prevent any disease

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